NORTHWEST WADE CORPORATION NPI 1033231709

NPI Information

NPI: 1033231709
Provider Name: NORTHWEST WADE CORPORATION

Doing Business As: COMMUNITY AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
9807 SE ASH ST
PORTLAND, OR
ZIP 97216
Phone: (503) 241-7283
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NORTHWEST WADE CORPORATION is a land transport ambulance in Portland, OR. NORTHWEST WADE CORPORATION NPI is 1033231709. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Ambulance.

The provider's business location address is:

9807 SE ASH ST
PORTLAND, OR
ZIP 97216
Phone: (503) 241-7283
Fax: (503) 246-2155

The provider's authorized official is Junita Jean Kauble .
The authorized official title is General Manager And Emergency Medic and has the following contact phone number (503) 241-7283.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 9/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)		383936	OREGON	No
2	3416L0300X	Ambulance	Land Transport	383936	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R0000RGCFS	MEDICARE ID-TYPE UNSPECIFIED	OREGON
2	149187	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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